In everyday life, the phrase, "time is of the essence", is applicable in most situations. This cannot be any more relevant than in emergency situations where the life of a person can be at stake if timely intervention is not provided. The community in the documentary was located in what could be considered a far-flung and isolated area with no roads and no access to vehicles. It would take members of the community hours of walking through uneven terrain, made more arduous by rains, before reaching the riverbank where they would have to rely on chance for a truck to ferry them across the river. In a situation wherein the difference between life and death is the time it takes to trek through the forest, the fate of the acutely injured person is practically sealed at the moment of injury.
What stands out in particular from the documentary was the apparent awareness of local government officials about the plight of the members of the isolated community who do not have access to the local healthcare facilities. On the one hand, it appeared as if there were efforts to address the problem by building a hospital/health center but on the other hand the infrastructure needs (i.e. roads, bridges) for getting people to the facility were grossly overlooked.
In the WHO Emergency Care System framework, there are three elements that I would consider to be summative: human resources, functions, and technologies (including vehicles, equipment, and information systems). As shown in the documentary, the local government unit involved is lacking in all three areas, thus exhibiting a poor emergency care system. There are few medical personnel to take care of the members of the community, poor public health education, no mention of communication technologies to alert officials of accidents, no roads, and no vehicles or equipment to transport the acutely ill or injured. In order to prevent the inevitable death of community members from otherwise curable diseases (e.g. tuberculosis, malnutrition) or salvageable situations (e.g. trauma), appropriate pre-hospital care needs to be developed. This would mean improving in the areas mentioned from the WHO ECS framework. With adequate reinforcement of health personnel and improvement of access (in terms of infrastructure and economic access) to healthcare facilities, significant morbidity and mortality can be prevented for a larger portion of the population.